Individual
FOREST AMSDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC, MACOM
Contact information
Practice address
1033 SW YAMHILL ST STE 300, PORTLAND, OR 97205-2539
(503) 222-1315
Mailing address
2066 NW OVERTON ST APT 3, PORTLAND, OR 97209-1654
(541) 285-2366
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC190822
OR
Other
Enumeration date
01/07/2020
Last updated
01/07/2020
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